Khaleej Times

Insomnia affects 33% residents: Experts

- Asma Ali Zain asmaalizai­n@khaleejtim­es.com

uman beings spend a third of their lives sleeping, or trying to sleep. It is, therefore, important to assess how we can sleep better and make it a healthy habit.

“Light is the most powerful influencer of the body’s circadian clock. Bright lights in the evening hours can confuse your brain into thinking it’s still daytime,” said Dr Hassan Al Hariri, head of sleep medicine at Rashid Hospital.

Sleep hygiene is a term used to include just about anything related to your sleep habits. “Artificial blue light (the type that laptops, tablets and mobile phones emit) is the worst culprit, so get rid of these devices at least two hours before bedtime,” he added.

“Consistenc­y is also key for sound and regular sleep. Try sleeping and waking up at the same time on most days including weekends if possible.”

Experts estimate almost 30 per cent of the UAE population experience­s insomnia for a certain period in their life. While in most cases, insomnia fades away on its own once the person’s stress levels reduce, there are cases where medical interventi­on is needed.

The trouble with prolonged sleeping problems is that it is a risk factor for chronic health problems such as high blood pressure, heart disease, diabetes and stroke.

Sleep deprivatio­n should not be taken lightly as it can affect everything from your memory to your immune system, heart and metabolism, said Dr Al Hariri.

“Sleep deprivatio­n due to medical conditions such as obesity and arthritic pain needs immediate medical interventi­on,” he added. “The patient should visit a primary healthcare physician who may recommend specialise­d treatment.

“If the person is unable to sleep for three weeks in a row and continues, it becomes chronic insomnia and treatment can be very challengin­g.”

A study by the University of Surrey in England revealed that the quality of sleep can even have an impact on a genetic level. It found that getting less than six hours a night affected the activity of more than 700 genes associated with controllin­g responses to stress, immunity and inflammati­on.

At Rashid Hospital’s sleep clinic, doctors see more than 500 new patients a year.

Given the high obesity rates in the country, about 70 per cent of the patients are affected by obstructiv­e sleep apnea due to obesity. About 20

per cent are cases of sleep deprivatio­n due to stress and other medicalrel­ated issues and the remaining 10 per cent are due to insomnia.

These figures do not reflect overall emirate-wide statistics, said Dr Al Hariri. “At Rashid Hospital, we emphasise on obesity-related sleep problems and work with doctors

from other department­s to ensure obese patients receive early and comprehens­ive interventi­on to prevent further complicati­ons.”

Snoring is one of the first signs of sleep apnea. The problem is usually first noticed by the patient’s spouse who is disturbed by the patient’s loud snoring.

Dr Al Hariri said that sleep apnea is a disorder in which one’s airway becomes obstructed while asleep, causing loud snoring to a complete cessation of breathing, cardiac arrhythmia­s and low blood oxygen levels at its worst.

“The airway of the obese individual becomes obstructed by large tonsils,

enlarged tongue and increased fat in the neck, all pressing on the airway when the throat muscles are relaxed during sleep,” he said.

Sleep apnea is a major risk factor for heart disease and stroke. It can be dangerous as patients with sleep apnea can fall asleep anywhere, even while driving.

The airway of the obese individual becomes obstructed by large tonsils, enlarged tongue and increased fat in the neck, all pressing on the airway when the throat muscles are relaxed during sleep.”

Dr Hassan Al Hariri, head of sleep medicine, Rashid Hospital

Earlier, people didn’t seek medical interventi­on for sleep problems, but with greater awareness they are realising the importance of early interventi­on. “It is important to discuss your sleep patterns with your primary healthcare physician,” said Dr Al Hariri.

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